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MENOMINEE VA CBOC
NPI 1194763185
Clinic/Center - VA in Menominee, MI

Active since June 03, 2006
1110 10TH AVE, SUITE 101, MENOMINEE, MI 49858(608) 821-7200(608) 821-7658 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 23, 2023, Oct 20, 2022, Nov 5, 2018 (3 updates tracked since 2018).

About Menominee Va Cboc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENOMINEE VA CBOC (NPI 1194763185) is a healthcare organization registered as a va in Menominee, Michigan and active in the NPI registry since June 2006. The organization lists Erin Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1194763185
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameIRON MOUNTAIN VAMC
Location Address1110 10TH AVE, SUITE 101Menominee, MI 49858-3058
Mailing AddressPo Box 94484Cleveland, OH 44101-4484 · (608) 821-7200 · Fax (608) 821-7658
Phone(608) 821-7200
Fax(608) 821-7658
Organization SubpartNo
Authorized OfficialErin PotterNpi Team · (202) 382-2579
Enumeration DateJune 3, 2006
Last NPPES UpdateFebruary 23, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
✔ NPI 1194763185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
1110 10TH AVE, Menominee, MI 49858
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Other Names 1

Other NameMenominee Va Cboc

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KAY SUSAN BARANCZYK APNP
Nurse Practitioner (Family)
1110 10TH AVE
MENOMINEE, MI 49858
Menominee County (906) 290-5000
CASSANDRA EMMER
Community Health Worker
1110 10TH AVE
MENOMINEE, MI 49858
Menominee County (906) 290-5000
DEBRA J HILLING NP
Nurse Practitioner (Family)
1110 10TH AVE
MENOMINEE, MI 49858
Menominee County (906) 290-5000
SAMANTHA JO LARSON
Case Manager/Care Coordinator
1110 10TH AVE
MENOMINEE, MI 49858
Menominee County (906) 290-5000
RAY S KOIVUNEN MD
Family Medicine
1110 10TH AVE
MENOMINEE, MI 49858
Menominee County (906) 290-5000
DIANA J HARDY P.A.
Physician Assistant (Medical)
1110 10TH AVE
MENOMINEE, MI 49858
Menominee County (906) 290-5000
CRYSTALEE CHRISTINE CALEY
Peer Specialist
1110 10TH AVE
MENOMINEE, MI 49858
Menominee County (906) 483-1065
UPPER GREAT LAKES FAMILY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
1110 10TH AVE
MENOMINEE, MI 49858
Menominee County (906) 290-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Iron Mountain Vamc's NPI number?

The NPI number for Iron Mountain Vamc is 1194763185. It was assigned to this organization in the NPPES registry on June 3, 2006. The provider is also known as Menominee VA Cboc.

Where is Iron Mountain Vamc located?

Iron Mountain Vamc is located at 1110 10th Ave Suite 101, Menominee, MI 49858. The listed phone number is (608) 821-7200.

What is Iron Mountain Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Iron Mountain Vamc was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.